Organization
PSYCHIATRY ASSOCIATES OF CONNECTICUT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL T AMBLE MD (OWNER)
(203) 245-1579
Entity
Organization
Contact information
Practice address
230 MAIN STREET EXT, MIDDLETOWN, CT 06457-4470
(203) 245-1579
(860) 347-8070
Mailing address
PO BOX 1000, MIDDLETOWN, CT 06457-1000
(203) 245-1579
(860) 347-8070
Taxonomy
Speciality
Code
Description
License number
State
103TP0016X
Prescribing (Medical) Psychologist
Primary
0032040
CT
Other
Enumeration date
02/04/2017
Last updated
02/06/2017
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